I take depakote and gabapentin daily and they seem to help with the pain, especially gabapentin. For breakthrough pain I get a little relief with tramadol and use tylenol 3 to sleep. Tramadol works best with a little acetaminophen but you can't take that with the tylenol.

Nothing else has ever really worked for me but methadone did suppress pain the day after I took it!

The best pain killer for me is a good night's sleep but this sometimes can be tough.